Evaluation of vaginal flora and susceptibility test of microorganisms in reproductive-age women with or without vaginitis in primary care settings

Aims. The treatment modalities of patients with vaginal discharge are generally related to their symptoms. The aim of this study was to evaluate vaginal flora and antibiogram analysis in reproductive-age women with or without vaginitis in primary care settings. Methods. Vaginal swabs were taken from 311 women who have vaginitis, and tested for the causative agents of vaginal discharge. The control group was 89 healthy women without vaginal discharge. Vaginal swaps were used in a commercial tests system. The tests were used for count and presumptive identification of the microorganisms and for the susceptibility testing of the urogenital mycoplasmas in the sample were interpreted by assessing the change in color of the various wells and performing a microscope examination. Results. Most isolated microorganisms were Candida sp. from 39 (12.5%)cultures, Gardnerella vaginalis from 32 (10.2%) cultures, Staphylococcus aureus from 32 (10.2%) cultures, Ureaplasma urealyticum from 29 (9.3%) cultures, and Trichomonas vaginalis from 21 (6.7%) cultures of the vaginal fluid specimens, and in 27 (8.6%) cultures, there was no isolation. In control group, Candida sp. was isolated from 3 (3.3%) cultures, Gardnerella vaginalis from 3 (3.3%) cultures, Trichomonas vaginalis was found in 1 (1.1%) of the vaginal fluid specimens. Conclusion. The results of this study confirm that culture and antibiogram are very important in the management of the vaginitis.